Improving mental health care for pregnant women with mood and anxiety disorders

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial evaluates a stepped-care intervention aimed at screening and treating perinatal mood and anxiety disorders (PMAD) among women attending maternal and child health clinics in Kenya. The intervention includes systematic screening for PMAD symptoms, the use of Problem Management Plus (PM+), and telepsychiatry services to enhance access to mental health care. By integrating mental health services into routine antenatal and postnatal care, the study seeks to improve detection and treatment rates of PMAD, which currently remain low due to inadequate provider training and resources. The trial will assess both clinical outcomes and the implementation of these integrated services in a resource-limited setting.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Pregnant and ≥28 weeks gestation
* Attending ANC care at the facility
* ≥14 years old
* Screen positive for PMAD symptoms (PHQ-2≥3 and/or GAD-2≥3)
* Willing to return to the MCH and PMTCT clinic for study visits

Exclusion Criteria:

* Less than 28 weeks gestation
* Any woman at high risk of self-harm based on a study self-harm assessment protocol,
* Has cognitive impairments or psychotic symptoms

Where it's running

• Kenyatta National Hospital
  Nairobi, Kenya Recruiting
• HomaBay, Siaya and Kisumu
  Western Kenya, Kenya Recruiting

Study contacts

• Principal investigator: John Kinuthia, MBChB, MMed, MPH — Kenyatta National Hospital
• Study coordinator: Nancy Ngumbau, MBChB, MPH
• Email: nancym390@gmail.com
• Phone: +254713917226

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.